Provider Demographics
NPI:1922189778
Name:NWAKA-ORAEGBU, LILY IKEMDI (MD)
Entity Type:Individual
Prefix:DR
First Name:LILY
Middle Name:IKEMDI
Last Name:NWAKA-ORAEGBU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:LILY
Other - Middle Name:IKEMDI
Other - Last Name:NWAKA-ORAEGBU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:SPRINGFIELD HOSPITAL CENTER
Mailing Address - Street 2:6655 SYKESVILLE ROAD
Mailing Address - City:SYKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21784
Mailing Address - Country:US
Mailing Address - Phone:410-970-7000
Mailing Address - Fax:
Practice Address - Street 1:SPRINGFIELD HOSPITAL CENTER
Practice Address - Street 2:6655 SYKESVILLE ROAD
Practice Address - City:SYKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21784
Practice Address - Country:US
Practice Address - Phone:410-970-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2021-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0064039208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice